Wellmark BCBS of Iowa - Alliance Select PPO Comprehensive

Traditional health plan, with lowest member cost-sharing. Covers a broad range of medically-necessary expenses including prescription drugs, chiropractic care, mental health and chemical dependency treatment, and maternity. Gives you the simplicity of budgeting for a premium payment, with minimal cost-sharing at the doctor’s office.

• Office services, including preventive and routine care (10% coinsurance when using Alliance Select network providers)
• Coverage for maternity, mental health and chemical dependency
• See any doctor in our extensive Alliance Select PPO network — no referrals needed
• Choose from five deductible options — a higher deductible means a lower premium rate
• Brand and generic prescription drug coverage with optional mail-order savings
• Worldwide network access through BlueCard

• Contraceptive — Covers oral contraceptives and contraceptive devices that are used to prevent pregnancy
• Dental — Covers diagnostic and preventive care, and major and minor restorative care
• Supplemental Accident — Supplements your regular insurance in case of an accident
• Life Insurance — Low-cost insurance available through USAble Life Insurance Company. Benefit amounts start at $10,000, and premium rates are determined by age and gender
• Vision — 10% to 60% discount on eyeglasses, contact lenses, non-prescription sunglasses, and other vision items. Discounts on eye exams available in many areas. Offered through Avesis, which contracts with more than 10,000 retail optical outlets nationwide

Refer to the Outline of Coverage for more complete details on benefits, limitations, and exclusions. (PDF, 436KB, last updated 08/07)

This is a general description of coverage. It is not a statement of contract. Actual coverage is subject to the terms and conditions specified in the policy itself and enrollment regulations in force when the policy becomes effective.